HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Fulbari Upazila Health Complex | Health Bulletin 2014 |
Preface
I have much pleasure in publishing this health bulletin of Fulbari Upazila Health Complex, Dinajpur. This bulletin contains almost all the health related information and data of 2013. This bulletin is published to share the information and health statistics of Fulbari Upazila to other department and development partners of health and the health researchers.I hope all the information and data published in this bulletin will help the policy makers as well as the top level managers of health sector in preparation of action plan thereby bridging the gaps in the health services of this upazila.The authority has many data stored in their files but this health bulletin will help us to find the constrains and to see the achievement and failures of 2013. This bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets. We also provided the information about safe drinking water and sanitation status of this upazila through this bulletin. All the sanctioned and vacant posts are published in this bulletin. I will like to draw the attention of the higher authority concerned and request them to go through the problem and take necessary action earliest possible to solve it otherwise will be very difficult to run this hospital and to meet the MDG goals. I will like to thank my colleagues and staffs who help me a lot in publishing this health bulletin. This bulletin has been published under an experimental project. Due to lack of our statistical knowledge and skill this health bulletin may show incorrect information and data. Please consider such limitation while interpretating the information and data. Finally I will like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh ..... the dream of Honorable Prime Minister of Bangladesh Her Excellency Sheikh Hasina.
Dr. Md. Fazlur Rahman
UH&FPO
Fulbari Upazila Health Complex

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaFulbari
Name of UHFPO Dr. Md. Fazlur Rahman
Telephone No. 0532756333
FAX No. 0
Mobile No. 01712226233
Email phulbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.3007 And Long: 88.5654
No. of Unions in the Upazila7
No. of Households in the Upazila 40,809
No. of Population in the Upazila 172,425
Area of Upazila in sq km 224.39

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 24 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 1 10
No. of NGO Clinics/Facilities 1 4

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,710


Total No. of children treated under IMCI Program 12,339
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 8.49 per 1,000 live births.

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 1061
Total Number of Deliveries: 2710
No. of Maternal Death: 1
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 36.90 per 100,000 live births.

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 48,852 23,379 25,473 8,551 8,081 3,938 4,143 978
Union Sub-Centres 29,235 14,259 14,976 4,811 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 205,737 68,078 137,659 19,037 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 6,085 2,160 3,925 135 1,680 600 1,080 180
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 295,994 107,876 182,033 32,534 9,761 4,538 5,223 2,058
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 6,117 2,719 3,398 844 7 4 3 2
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 1,196 115 1,081 74 0 0 0 0
NGO Clinics/Facilities 127 0 127 0 0 0 0 0
Total 7,440 2,834 4,606 918 7 4 3 2

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 6

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 6961
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1639 23.55
2 B349 Viral infection, unspecified 664 9.54
3 Y049 Assault by bodily force, unspecified place 634 9.11
4 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation 250 3.59
5 T600 Organophosphate and carbamate insecticides 236 3.39
6 V892 Person injured in unspecified motor-vehicle accident, traffic 164 2.36
7 O060 Unspecified abortion, incomplete, complicated by genital tract and pelvic infection 99 1.42
8 N390 Urinary tract infection, site not specified 79 1.13
9 J189 Pneumonia, unspecified 63 0.91
10 O669 Obstructed labour, unspecified 48 0.69

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 2 22.22
2 J18 Pneumonia, organism unspecified 2 22.22
3 I50 Heart failure 1 11.11
4 D02 Carcinoma in situ of middle ear and respiratory system 1 11.11
5 I259 Chronic ischaemic heart disease, unspecified 1 11.11
6 V892 Person injured in unspecified motor-vehicle accident, traffic 1 11.11
7 I516 Cardiovascular disease, unspecified 1 11.11
8 0 0.00
9 0 0.00
10 0 0.00

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,059
Bed Occupancy Rates (%) 89.03
Average Length of Hospital Stay (No. of days per patient) 1.44
Hospital Death Rate (%) 0.12


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 11

 

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 10 4 3 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 54 32 11 11 20.37
Class IV 19 11 4 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 0 1 3 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 2 0 0.00
Class IV 2 0 0 2 100.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 25 10 13 2 8.00
Class IV 0 0 0 0 0.00

 

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 16 4 5 7 43.75
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 87 49 25 13 14.94
Class IV 21 13 6 2 9.52
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 6 2 10 7 0 0 1 0
Nurse 0 0 0 0 14 13 0 0 7 3
Medical Assistant 0 0 6 6 2 2 0 0 7 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 25 23 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 25 16 0 0 0 0
CSBA trained*** 0 0 0 0 0 2 0 0 0 0

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 2 1 1 0 0
Colorimeter 1 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 6 4 1 1 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 1 1 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 3 3 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 3 3 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 6 3 3 0 0
Printer (laser) 3 2 1 0 0
Scanner 1 1 0 0 0
UPS 3 3 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 48 38 8 2 0

Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Fulbari Upazila Health Complex |
 Essential health care services are provided to all who have access to the Phulbari Upazila Health Complex, Dinajpur. The Emergency department remains open for 24 hours round the clock and required services are provided to the patients. Oral rehydration (ORT) corner is available for the patients suffering from diarrhoeal diseases. Necessary pathological tests and X-ray facilities are available.Indoor patients are not getting the specialized treatment related to medical, surgical, gynaecological or other discipline due to absence of respective specialists. Facilities are available for sputum examination for patients suffering from tuberculosis. Medicines are provided free of cost to patients suffering from tuberculosis and leprosy. Under Expanded program me of Immunization (EPI) vaccination are provided to women of child bearing age (15-49 years) and children. Activities related to child friendly hospitals are conducted in this upazila health complex. The patients referred from union sub-centers, family welfare centers and community clinics are provided with appropriate treatment in this upazila health complex. The more complicated cases are referred to Dinajpur Medical College Hospital for further treatment. Medicines are provided free of cost to the patients subject to the availability of the medicines. some medicines are to be bought from outside by the service seekers.